2025/2026 – Verified Questions with Correct
Solutions (100% Guaranteed A+)
This comprehensive for the HealthStream Jane Assessment Test (2025/2026) includes 50
verified multiple-choice questions designed to evaluate proficiency in the Jane simulation
platform for nursing education. Questions focus on virtual patient assessment, intervention,
documentation, and clinical decision-making. Each question has four options, the correct answer
in RED, and a concise rationale with clinical priorities for guaranteed pass.
Question 1: In the Jane simulation, the virtual patient Jane complains of chest pain rated
8/10. What is the priority initial assessment?
A. Administer oxygen immediately
B. Assess pain location, radiation, and characteristics
C. Obtain 12-lead ECG
D. Prepare for thrombolytics
Correct Answer: B. Assess pain location, radiation, and characteristics
Rationale: Prioritizes ABCs and detailed pain assessment to differentiate causes (e.g., cardiac
vs. GI). Oxygen (A) if hypoxic; ECG (C) follows assessment. Clinical priority: Accurate history
for intervention. Simulation tip: Use OPQRST for pain.
Question 2: Jane, a 45-year-old virtual patient, has a respiratory rate of 28/min and SpO2
92%. What is the priority action?
A. Administer albuterol nebulizer
B. Apply oxygen via nasal cannula at 2 L/min
C. Perform chest X-ray
D. Check temperature
Correct Answer: B. Apply oxygen via nasal cannula at 2 L/min
Rationale: Tachypnea and low SpO2 indicate hypoxia; supplemental O2 maintains saturation
>92%. Albuterol (A) if wheeze; X-ray (C) diagnostic. Clinical priority: Airway/breathing.
Simulation tip: Titrate O2 to SpO2.
Question 3: During Jane's simulation, the virtual patient reports nausea and vomiting.
What is the priority assessment?
, A. Administer antiemetic
B. Assess for dehydration
C. Order labs
D. Encourage fluids
Correct Answer: B. Assess for dehydration
Rationale: Nausea/vomiting risks fluid/electrolyte imbalance; assess skin turgor, mucous
membranes. Antiemetic (A) symptomatic; labs (C) follow. Clinical priority: Fluid status.
Simulation tip: Vital signs first.
Question 4: Jane's simulation shows BP 160/100 mmHg on assessment. What is the priority
intervention?
A. Administer lisinopril
B. Recheck BP in 5 minutes
C. Implement low-sodium diet
D. Both B and C
Correct Answer: B. Recheck BP in 5 minutes
Rationale: Confirms hypertension; single reading insufficient. Lisinopril (A) if chronic; diet (C)
long-term. Clinical priority: Accurate assessment. Simulation tip: Repeat abnormal vitals.
Question 5: In Jane's simulation, the client has a new IV site with redness. What is the
priority action?
A. Apply warm compress
B. Discontinue IV
C. Administer antibiotics
D. Continue infusion
Correct Answer: B. Discontinue IV
Rationale: Redness indicates phlebitis; removal prevents infection spread. Compress (A)
symptomatic; antibiotics (C) if systemic. Clinical priority: Infection prevention. Simulation tip:
IV site assessment qshift.
Question 6: A virtual patient Jane reports dizziness upon standing. What should the nurse
assess first?
A. Blood glucose
B. Orthostatic blood pressure
C. Temperature
D. Pain level
Correct Answer: B. Orthostatic blood pressure
Rationale: Dizziness suggests orthostatic hypotension from dehydration or meds. Glucose (A) if
diabetic; temp (C) infection. Clinical priority: Orthostatic hypotension. Simulation tip: Vital
signs for positional symptoms.